Price AtlasInteractive atlas · All states · techysurgeon.comSentara Martha Jefferson Hospital: what a joint replacement costs
Charlottesville, VA 22911 · CMS Certification Number 490077. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Sentara Martha Jefferson Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,484 | $41,178 | 3.1× | $11,196 |
| Shoulder replacement | — | — | — | $15,787 |
| Hip replacement after a fracture (DRG 522) | $13,529 | $49,259 | 3.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,010 | 2.4× | $28,073–$51,804 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $51,804 | 3.8× | 1 |
| Elevance/Anthem/Empire | $35,634 | 2.6× | 1 |
| Aetna | $28,386 | 2.1× | 1 |
| Cigna | $28,073 | 2.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 176 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Sentara Martha Jefferson Hospital for a knee or hip replacement?
In 2024 the average total payment to Sentara Martha Jefferson Hospital for an inpatient hip or knee replacement stay was $13,484 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,196 per outpatient case (APC 5115, 372 cases).
What is Sentara Martha Jefferson Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,178, 3.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Sentara Martha Jefferson Hospital?
Yes for Medicare facility payments. Soaring Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,552 by Medicare for a knee replacement (CPT 27447), $4,932 less than an inpatient stay at Sentara Martha Jefferson Hospital. Not every patient is a surgery-center candidate.
How does Sentara Martha Jefferson Hospital compare with other Virginia hospitals?
Sentara Martha Jefferson Hospital's average total payment per Medicare stay is lower than 82% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Martha Jefferson Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $32,010 across 4 insurers, ranging from $28,073 to $51,804.